| NPI | 1639337991 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD P-20372) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101244902) |
| Enumeration Date | 2008-05-22 |
| Last Update Date | 2016-07-15 |